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COVID-19 induced bradyarrhythmia and relative bradycardia: An overview

Steven Douedi1, Anton Mararenko1, Abbas Alshami1

  • 1Department of Internal Medicine Jersey Shore University Medical Center Neptune NJ USA.

Journal of Arrhythmia
|August 13, 2021
PubMed

Insights

COVID-19 can cause bradycardia (slow heart rate), affecting multiple organ systems. This review explores the epidemiology, pathogenesis, and management of bradyarrhythmia in COVID-19 patients.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pulmonology

Background:

  • The novel coronavirus 2019 (COVID-19) pandemic has impacted global health significantly.
  • While primarily a respiratory illness, COVID-19 affects multiple organ systems, including the cardiovascular system.
  • Bradycardia is an emerging complication of COVID-19 with uncertain prognostic implications.

Purpose of the Study:

  • To provide a comprehensive literature review on bradyarrhythmia in COVID-19 patients.
  • To analyze the epidemiology, pathogenesis, and management strategies for COVID-19-induced bradyarrhythmia.
  • To increase clinical awareness of cardiovascular manifestations of COVID-19.

Main Methods:

  • Literature review of existing studies on COVID-19 and cardiovascular complications.
  • Analysis of epidemiological data related to bradycardia in COVID-19.
  • Synthesis of information on the pathogenesis and potential management of COVID-19-associated bradyarrhythmia.

Main Results:

  • COVID-19 is associated with an increased incidence of various cardiovascular issues, including arrhythmias and cardiomyopathies.
  • Bradycardia is a recognized, albeit not fully understood, complication of COVID-19.
  • Existing cardiovascular disease increases mortality risk in COVID-19 patients.

Conclusions:

  • COVID-19's impact on the cardiovascular system is extensive, necessitating clinical vigilance.
  • Understanding the multifactorial pathogenesis of bradycardia in COVID-19 is crucial for patient management.
  • Further research is needed to clarify the prognostic value and optimal treatment of bradyarrhythmia in COVID-19.

Keywords:
COVID‐19arrythmiabradyarrhythmiabradycardiacoronavirus

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